Showing posts with label Mentally Ill. Show all posts
Showing posts with label Mentally Ill. Show all posts

Tuesday, April 11, 2017

"Most important Mental Illness Policy Book of Year," say many.

JUST RELEASED! HOT OFF THE PRESS



Insane Consequences: How the Mental Health Industry Fails the Mentally Ill is by far the most well-researched and important book written on mental illness out today. With a foreword by Dr. E. Fuller Torrey, it is a must-have for anyone who wants better care for people with serious mental illness, reports on it, develops policy, works in mental health or criminal justice. It provides actionable ideas to lower rates of homelessness, incarceration, suicide, violence and expense.
Available on Amazon (hard cover and Kindle) and Barnes and Noble (hard cover and Nook).

Great reviews below from top advocates and media:

  • Dr. E. Fuller Torrey
  • Glen Close, Actress
  • Sally Satel, MD, Yale University School of Medicine
  • Pete Earley, Bestselling Author of CRAZY: A Father’s Search Through America’s Mental Health Madness
  • Tom Dart, Cook County (Chicago) Sheriff
  • Ron Powers, Pulitzer prizewinner and author of No One Cares about Crazy People: The Chaos and Heartbreak of Mental Health in America
  • Susan Adams, senior editor, Forbes
  • Norman Ornstein, resident scholar, American Enterprise Institute
  • Rich Lowry, editor, National Review
  • Allen Frances, former chair of the DSM-IV Task Force, former President, American Psychiatric Association, author of Saving Normal
  • Rael Jean Isaac, coauthor, Madness in the Streets: How Psychiatry and the Law Abandoned the Mentally Ill
  • Xavier Amador, Author of, I am Not Sick, I Don’t Need Help!, former Director of Psychology and Professor Department of Psychiatry Columbia University; and Board of Directors, NAMI
  • Charlie Rangel, former Member, U.S. House of Representatives (D-NY)
  • Eleanor Clift, Washington Correspondent, Daily Beast
  • John Snook, Executive Director, Treatment Advocacy Center
  • Chief (Ret.) Michael Biasotti, Contributor: International Association Chiefs of Police policy on handling of the mentally ill, and Fellow, U.S. Department of Homeland Security
  • Dominic A. Sisti, PhD, Director, The Scattergood Program for Applied Ethics of Behavioral Health Care, Assistant Professor, Department of Medical Ethics & Health Policy Perelman School of Medicine at the University of Pennsylvania
  • Robert Paul Liberman, M.D., Distinguished Professor of Psychiatry, UCLA School of Medicine, Director of the UCLA Psychiatric Rehabilitation Program
  • Liza Long, author of The Price of Silence: A Mom’s Perspective on Mental Illness, a 2015 Books for a Better Life award winner
  • Steven B. Seager, MD, producer/director of the award-winning documentary Shattered Families: The Collapse of America’s Mental Health System, and author of Behind the Gates of Gomorrah: A Year with the Criminally Insane
  • Mia St. John, mental illness advocate and five-time World Boxing Council champion
  • Natasha Tracy, author of Lost Marbles: Insights into My Life with Depression & Bipolar
  • Anthony Daniels is the Dietrich Weismann Fellow at the Manhattan Institute and a contributing editor of City Journal.

Book Description: Insane Consequences

This well-researched and highly critical examination of the state of our mental health system by the industry’s most relentless critic presents a new and controversial explanation as to why—in spite of spending $147 billion annually—140,000 seriously mentally ill are homeless, 390,000 are incarcerated, and even educated, tenacious, and caring people can’t get treatment for their mentally ill loved ones. DJ Jaffe blames the mental health industry and the government for shunning the 10 million adults who are the most seriously mentally ill—mainly those who suffer from schizophrenia and severe bipolar disorder—and, instead, working to improve "mental wellness" in 43 million others, many of whom are barely symptomatic. Using industry and government documents, scientific journals, and anecdotes from his thirty years of advocacy, Jaffe documents the insane consequences of these industry-driven policies: psychiatric hospitals for the seriously ill are still being closed; involuntary commitment criteria are being narrowed to the point where laws now require violence rather than prevent it; the public is endangered; and the mentally ill and their families are forced to suffer.

Insane Consequences proposes smart, compassionate, affordable, and sweeping reforms designed to send the most seriously ill to the head of the line for services rather than to jails, shelters, prisons, and morgues. It lays out a road map to spend less on mental "health" and more on mental "illness"––replace mission creep with mission control and return the mental health system to a focus on the most seriously ill. It is not money that is lacking; it’s leadership.

This book is a must-read for anyone who works in the mental health industry or cares about the mentally ill, violence, homelessness, incarceration, or public policy.

Reviews of  Insane Consequences: How the Mental Health Industry Fails the Mentally Ill


"One of the most important books written on how to reform the mental health system."

—Dr. Fuller Torrey, Author, Surviving Schizophrenia

I certainly haven’t been an advocate for the mentally ill for as long as Mr. Jaffe, but even so, I find the arguments put forth in this book undeniable and his blueprint for how to fundamentally change how we must care for the seriously mentally ill just common sense, as difficult as it may be. The truth in this book haunts me with its blazing clarity. Mr. Jaffe’s informed and passionate plea for fundamental change is rooted in a sense of deep humanity. He has paid attention to those who are neglected and suffering right under our noses and challenges us to do something about it.

—Glen Close, Actress

"DJ Jaffe is a tireless champion of people suffering from severe mental illness. Insane Consequences overflows with DJ’s passion, insight, and, of course, his astute policy prescriptions. Essential reading for anyone concerned about America’s most vulnerable."

— Sally Satel, MD, Yale University School of Medicine

"DJ Jaffe spares no one in this scathing examination that asks: why are we turning our backs on the seriously mentally ill dying on our streets while we’re squandering millions? Insane Consequences delivers a searing indictment of our current policies and offers readers Jaffe’s road map for radically transforming how we can help the sickest of the sick. A timely and thoughtful analysis of a broken system that needs replacing."

—Pete Earley. Bestselling Author of CRAZY: A Father’s Search Through America’s Mental Health Madness

"In this book, DJ Jaffe importantly illuminates the countless and unacceptable failures of our mental health system—including the barbaric criminalization of mental illness, which places sick people in jails like my own, instead of treatment facilities. Jaffe also poses many commonsense solutions that should be taken seriously by lawmakers."

—Tom Dart, Cook County Sheriff

"Mental illness is America’s true ‘enemy within.’ Its tentacles devastate victims, families, communities, our court and law enforcement systems, our economy, and our national character—even as we focus our attention outward on endless ‘public’ issues. No one understands this better than DJ Jaffe. An activist hero in the arduous fight for mental healthcare reform, he has poured his vast wisdom and information into A slashing, comprehensive, highly readable call to awareness and action. Every literate American should read Insane Consequences. Every literate American. Period."

—Ron Powers, Pulitzer prizewinner and author of No One Cares about Crazy People: The Chaos and Heartbreak of Mental Health in America

"Insane Consequences exposes in relentless and compelling detail one of the worst public health scandals of our time. Instead of helping and treating people with serious mental illnesses like schizophrenia and bipolar disorder, we relegate them to the streets and homeless shelters, incarcerate and too often kill them. For thirty years, DJ Jaffe has worked as a tireless advocate for sensible government policies and for compassion and understanding of the real issues at stake affecting this vulnerable, abused population. This book will break your heart, make you furious, and ultimately give you hope when you read Jaffe’s smart ideas for reform."

—Susan Adams, senior editor, Forbes

"Life for those with serious mental illness—schizophrenia, bipolar disorder, deep depression—can be and usually is an unremitting hell. The emotional pain of the brain disease is often accompanied by homelessness, imprisonment (often in solitary confinement), and violent encounters with police or others. The emotional pain and dislocation is unremitting as well for families of those who have serious brain diseases, powerless to help their loved ones after they have reached the age of eighteen, especially loved ones with no recognition that they are ill, and family members are unable to get even basic information from health authorities under HIPAA. No one understands these problems more than DJ Jaffe, and no one has worked harder to remove the grip of an insensitive government bureaucracy and a mental health industry that turns resources away from the seriously ill while [We’re] forcing people with no recognition of their illness onto the streets or into the jails in the name of civil liberties. Insane Consequences is a guidebook that details what the problems are, who is responsible, and, most important, [details] what we should do to fix things. If we cannot cure serious mental illness, we can improve the lives of those who suffer from it. That is Jaffe’s life’s work and why this book is so important."

—Norman Ornstein, resident scholar, American Enterprise Institute

"The neglect of the seriously mentally ill is one of the greatest disgraces of our age. DJ Jaffe calls us back to common sense and basic decency in this deeply felt, important book. Read it, weep, and learn about the better path of treatment for the sick and find compassion for their families, topics that Jaffe sets out so compellingly."

—Rich Lowry, editor, National Review

"DJ Jaffe is a world’s expert at exposing the cruel paradox that we carelessly over-treat the worried well, while shamefully neglecting the really sick. A smart and compassionate call to action."

—Allen Frances, former chair of the DSM-IV Task Force, author of Saving Normal

"In this important, thoroughly researched book, DJ Jaffe exposes what is probably the largest, most audacious bait and switch operation in US history: unbeknownst to the public, what Jaffe calls ‘the mental health industry’ siphons off billions of taxpayer dollars each year, designed to serve the seriously mentally ill, to scientifically baseless or irrelevant programs (like prevention, when no one has the faintest idea of how to prevent major mental illness). Worse still, the small proportion of funds that go to the seriously ill are used to prevent treatment (under the false flag of civil rights) rather than to provide it."

—Rael Jean Isaac, coauthor, Madness in the Streets: How Psychiatry and the Law Abandoned the Mentally Ill

"DJ Jaffe gives us vital answers. There is no other book that so completely identifies, specifically, how the United States is condemning tens of millions of seriously mentally ill citizens to tragic lives of extreme isolation, homelessness, incarceration, violence, [and] suicide, and the lost chance of recovery. Much more than a screed against the mental health industry, lawmakers, the justice system, and an apathetic public, this book provides science-based commonsense answers that work. It should be mandatory reading for all involved in mental illness treatment, public safety, healthcare legislation, the justice system, and helping family caregivers."

Xavier Amador, Author of, I am Not Sick, I Don’t Need Help! former Director of Psychology and Professor Department of Psychiatry Columbia University; and Board of Directors, NAMI

"I am proud that DJ Jaffe, a constituent and member of the Harlem chapter of National Alliance on Mental Illness, has been tirelessly advocating to help the seriously mentally ill. Through increased awareness and improved public policy as outlined in this book, we can combat challenges we face to ameliorate mental health."

Charlie Rangel, former Member, U.S. House of Representatives (D-NY)

"In the complicated and often crazy world of mental illness, DJ Jaffe provides important guidance to journalists seeking a sound bite while conveying controversial information."

—Eleanor Clift, Washington Correspondent, Daily Beast

"Insane Consequences is a thorough accounting of the innumerable tragedies and lost opportunities brought about by America's broken mental health system. This book is the culmination of DJ's long history  of speaking truth to power and provides a  compelling counter-argument  to those who would attempt to maintain the current status quo."

—John Snook, Executive Director, Treatment Advocacy Center

Insane Consequences does an amazing job explaining the impact of the failed mental health system on the criminal justice system. Every advocate, police chief, sheriff, district attorney, and mayor should read it.

—Chief (Ret.) Michael Biasotti, International Association Chiefs of Police, and Fellow, U.S. Department of Homeland Security

"In Insane Consequences, DJ Jaffe marshals compelling case accounts and empirical data to show how America’s mental health system—such as it is—grossly misallocates resources by focusing on the "worried well" at the expense of those with serious brain disorders. One result is that our nation’s jails have become de facto psychiatric institutions. This is a serious ethical transgression that Jaffe’s hard-hitting account makes impossible to ignore."

Dominic A. Sisti, PhD, Director, The Scattergood Program for Applied Ethics of Behavioral Health Care, Assistant Professor, Department of Medical Ethics & Health Policy Perelman School of Medicine at the University of Pennsylvania

"DJ Jaffe has written a readily accessible and up-to-date book on serious mental disorders that should be a must-read for laypersons interested in mental disorders, family members of mentally ill persons, and patients themselves. A wide variety of mental disorders are described with clarity and graphic case examples. Moreover, the author points out clearly that lack of treatment facilities for the seriously mentally ill has led to their criminalization with many more of these individuals now in jails than in psychiatric hospitals."

—Robert Paul Liberman, M.D., Distinguished Professor of Psychiatry, UCLA School of Medicine, Director of the UCLA Psychiatric Rehabilitation Program

"Jaffe’s book is to the mental health industry what Al Gore’s Inconvenient Truth was to climate change. We can no longer afford to ignore the most seriously ill. My son and all people living with mental illness have a right to treatment. This book provides real solutions that will save money and lives."
—Liza Long, author of The Price of Silence: A Mom’s Perspective on Mental Illness, a 2015 Books for a Better Life award winner

"Want to know what’s wrong with America’s disastrous mental health system? Look no further than DJ Jaffe’s thoughtful, clear, and insightful presentation on the shortfalls in a system that tolerates abuse, neglect, and suffering as a matter of official policy. Want to fix the system? Jaffe discusses this in the same straightforward, head-on manner. Insane Consequences is a must for any mental health library. It is a ‘how-to’ manual for mental health advocates, and a road map for legislators implementing much-needed changes. Well done, Mr. Jaffe."

—Steven B. Seager, MD, producer/director of the award-winning documentary Shattered Families: The Collapse of America’s Mental Health System, and author of Behind the Gates of Gomorrah: A Year with the Criminally Insane

"Insane Consequences is the first candid book about mental illness that I have read. It really pulls no punches. It speaks the truth about our system, instead of the usual sugar-coated version. You should read this book, even if you are not affected by mental health issues. It’s time to start educating the public about mental illness."

—Mia St. John, mental illness advocate and five-time World Boxing Council champion

"Insane Consequences is a thorough accounting of the innumerable tragedies and lost opportunities brought about by America’s broken mental health system. This book is the culmination of Jaffe’s long history of speaking truth to power and provides a compelling counterargument to those who would attempt to maintain the current status quo."

—Natasha Tracy, author of Lost Marbles: Insights into My Life with Depression & Bipolar

"This book describes graphically and in close detail the elaborate system of neglect of the seriously mentally ill in America, operated mainly for the benefit of those who work in it. In this absurd system, which would be funny if it were not productive of so much tragedy, the mildly distressed are over treated and the raving mad receive no care. Jaffe decries the mental health industry’s waste, incompetence, and willful stupidity, and suggests remedies. A book that is urgently needed."

Anthony Daniels, Dietrich Weismann Fellow at the Manhattan Institute and a contributing editor of City Journal.[/fusion_text] 

Available on Amazon (hard cover and Kindle) and Barnes and Noble (hard cover and Nook).


Thursday, October 27, 2016

White House Parity Task Force Report Leaves Out Seriously Mentally Ill

Federal Parity Task Force Report Fails to End Federal Discrimination Against the Seriously Mentally Ill that is part of Medicaid.

The Mental Health and Substance Use Disorder Task Force report issued by the White House today shamefully fails to end the federal government's own massive discrimination against people with serious mental illness that is embedded in Medicaid. The Medicaid Institutes for Mental Disease (IMD) provision prevents states from receiving federal reimbursement for seriously mentally ill individuals between 18 and 64 who need long-term psychiatric hospital care. This limitation applies only applies to the mentally ill and parity can not be achieved without eliminating it. If you have a disease in any organ and are Medicaid-eligible, Medicaid pays with a single exception: individuals who have a mental illness in their brain.  

The IMD Exclusion causes states to lock the front door of psychiatric hospitals and kick the mentally ill out the back. The failure to eliminate the IMD Exclusion will cause more individuals with disorders like schizophrenia and bipolar disorder to be offloaded to jails, shelters, prisons and morgues. The Task Force should have called for ending this injustice. 

We do appreciate the recommendation of the Task Force to end the 190-day limit on inpatient care for the seriously ill that is part of Medicare Part A and urge the President to act on it immediately.

Background Info: Op-ed by DJ Jaffe in Washington Post
http://mentalillnesspolicy.org/media/bestmedia/imd-exclusion-washington-post.html

Tuesday, October 25, 2016

NYC Health & Hospitals Corp Kicked Mental Health Advocate (Me) Out of Meeting.

Last night (October 24) I was prevented from attending the 2016 Annual PUBLIC meeting of the Harlem Community Advisory board to NYC Health and Hospitals Corp. It was in the second floor auditorium of Harlem Hospital.

The annual meeting was entitled, “Understanding the Roadmap to Mental Health.” The word “roadmap” refers to ThriveNYC, the $800 million NYC mental health plan. Since I think it is failing because it funds pop-psychology and useless programs and generally ignores serious mental illness, I thought attendees would be a good audience to share my point of view with.
So I made up a package of three handouts: a one-pager on why I believe ThriveNYC is failing, a copy of the critical article on ThriveNYC that Seth Baron wrote for City Journal and a fact sheet containing the research on Kendra’s Law, a useful program that Dr. Gary Belkin, the director of mental health services in NYC refuses to make available to most who could benefit from it.
As I usually do, I showed up early (I knew several people who are members of Harlem NAMI, as am I) and started handing out my fact sheet to those few who were already seated. This all took place before the event started.
A man came over and told me I couldn’t hand out literature. I explained that it was directly related to the purpose of this PUBLIC meeting. He said I couldn’t and asked me to leave. I was pretty sure I was within my rights, and I said that at a public meeting all sides should be allowed to present their point of view. He said, “We are trying to build support for the Roadmap and you want to say it doesn’t work so you have to leave” 
While I was gathering my belongings a woman who identified herself as Detective Fleming came over, and said Mr. Cook said I had to leave. I asked who that was and she said he was (I think) a hospital (Community Affairs?) Director. I said that I was surprised as a police officer that she takes orders from him, versus someone at NYPD, but she said she is a detective, but did not work for NYPD, she works for the hospital and escorted me out. Note that I was very calm and so were they. We had a disagreement, that is all, and they said they had the right to force me to leave, and I didn’t know enough to know if they are right or not.
Guards posted outside Harlem Hospital to make sure no literature questioning efficacy of ThriveNYC was given to participants at public hearing on Thrive NYC (10.24.27)

So I left and started handing out my literature on the street to people who were going into Harlem Hospital. I would ask, “Are you going to the mental health meeting” and if they answered in the affirmative, I handed them literature. At that point Detective Fleming and a big guy who I took to be a boss (Cook?) and a little guard came out and told me I couldn’t hand out literature in front of the hospital. I said, respectfully, that I am ex-hippie who has participated in many protests and I am pretty sure I am allowed to hand out literature on the sidewalk. The big guy tried to mildly intimidate me and said, “Do you want me to ratchet this up.” And at that point I took a big breath and said, “yes, I think I do.” (In my mind, I was thinking, if he wants to escalate this, he will likely call police and if they tell me I can't hand out literature, I would have to take their word for it.) He went inside-I thought to call police-and the other security guards stayed behind to watch me and tell me repeatedly I had to leave. I didn’t. I continued. And they continued to tell me I had to leave. I must have been right, because even though they stayed around watching me, continually saying I could not hand out literature, they did nothing when I did.
I was frankly very surprised. It did get the adrenaline going a little a bit. I had thoughts about a night in jail, something that hasn't happened to me since the Vietnam War Protests in DC. 

I think they were wrong to try to shut down free-speech, especially, as I wasn’t even saying anything, just handing out literature. I don’t think it was part of any cabal, although frankly I don’t understand it, as handing out literature at a public meeting is fairly mom and apple pie. 

I do think it explains one important reason why ThriveNYC is failing to serve the seriously mentally ill. First Lady Chirlane McCray, Deputy Mayor Richard Buery and others are only hearing from mental "health" officials, mental "health" industry reps, and mental "health" advocates. 
In fact, they usually won't even use the term "mental illness" as if it were a pejorative. 
 I don't think McCray or Buery had anything to do with me being kept out. T
he most likely reason officials kept me out was because they wanted to  avoid upsetting them by having it get back to them that someone questioned their program publicly. McCray and Buery are not hearing from those of us who care about the seriously mentally "ill". The mental health industry loves to receive money from the city without any obligation to serve the seriously ill. And McCray and Buery's ThriveNYC largely gives it to them.

Read thoughtful articles about ThriveNYC failing the most seriously ill here or here and here

NYC Health & Hospitals Corp Kicked Mental Health Advocate (Me) Out of Meeting.

Last night (October 24) I got kicked out of the 2016 Annual PUBLIC meeting of the Harlem Community Advisory board to NYC Health and Hospitals Corp. It was in the second floor auditorium of Harlem Hospital.

The annual meeting was entitled, “Understanding the Roadmap to Mental Health.” The word “roadmap” refers to ThriveNYC, the $800 million NYC mental health plan. Since I think it is failing because it funds pop-psychology and useless programs and generally ignores serious mental illness, I thought attendees would be a good audience to share my point of view with.
So I made up a package of three handouts: a one-pager on why I believe ThriveNYC is failing, a copy of the critical article on ThriveNYC that Seth Baron wrote for City Journal and a fact sheet containing the research on Kendra’s Law.  
As I usually do, I showed up early (I knew several people who are members of Harlem NAMI, as am I) and started handing out my fact sheet to those few who were already seated. This all took place before the event started.
A man came over and told me I couldn’t hand out literature. I explained that it was directly related to the purpose of this PUBLIC meeting. He said I couldn’t and asked me to leave. I was pretty sure I was within my rights, and I said that at a public meeting all sides should be allowed to present their point of view. He said, “We are trying to build support for the Roadmap and you want to say it doesn’t work so you have to leave” 
While I was gathering my belongings a woman who identified herself as Detective Fleming came over, and said Mr. Cook said I had to leave. I asked who that was and she said he was (I think) a hospital (Community Affairs?) Director. I said that I was surprised as a police officer that she takes orders from him, versus someone at NYPD, but she said she is a detective, but did not work for NYPD, she works for the hospital and escorted me out. Note that I was very calm and so were they. We had a disagreement, that is all, and they said they had the right to force me to leave, and I didn’t know enough to know if they are right or not.
Guards posted outside Harlem Hospital to make sure no literature questioning efficacy of ThriveNYC was given to participants at public hearing on Thrive NYC (10.24.27)

So I left and started handing out my literature on the street to people who were going into Harlem Hospital. I would ask, “Are you going to the mental health meeting” and if they answered in the affirmative, I handed them literature. At that point Detective Fleming and a big guy who I took to be a boss (Cook?) and a little guard came out and told me I couldn’t hand out literature in front of the hospital. I said, respectfully, that I am ex-hippie who has participated in many protests and I am pretty sure I am allowed to hand out literature on the sidewalk. The big guy tried to mildly intimidate me and said, “Do you want me to ratchet this up.” And at that point I took a big breath and said, “yes, I think I do.” (In my mind, I was thinking, if he wants to escalate this, he will likely call police and if they tell me I can't hand out literature, I would have to take their word for it.) He went inside-I thought to call police-and the other security guards stayed behind to watch me and tell me repeatedly I had to leave. I didn’t. I continued. And they continued to tell me I had to leave. I must have been right, because even though they stayed around watching me, continually saying I could not hand out literature, they did nothing when I did.
I was frankly very surprised. It did get the adrenaline going a little a bit. I had thoughts about a night in jail, something that hasn't happened to me since the Vietnam War Protests in DC. 

I think they were wrong to try to shut down free-speech, especially, as I wasn’t even saying anything, just handing out literature. I don’t think it was part of any cabal, although frankly I don’t understand it, as handing out literature at a public meeting is fairly mom and apple pie. 

I do think it explains one important reason why ThriveNYC is failing to serve the seriously mentally ill. First Lady Chirlane McCray, Deputy Mayor Richard Buery and others are only hearing from mental "health" officials, mental "health" industry reps, and mental "health" advocates. 
In fact, they usually won't even use the term "mental illness" as if it were a pejorative. 
 I don't think McCray or Buery had anything to do with me being kept out. T
he most likely reason officials kept me out was because they wanted to  avoid upsetting them by having it get back to them that someone questioned their program publicly. McCray and Buery are not hearing from those of us who care about the seriously mentally "ill". The mental health industry loves to receive money from the city without any obligation to serve the seriously ill. And McCray and Buery's ThriveNYC largely gives it to them.

Read thoughtful articles about ThriveNYC failing the most seriously ill here or here and here

Monday, October 24, 2016

NYC's New Helpline Not What Seriously Mentally Ill Really Need

On Oct. 24, with great fanfare, NYC First Lady Chirlane McCray announced a new HelpLine for Mentally Ill (Call 1-888-NYC-WELL or text, "WELL" to 65173). When pressed by a reporter, Ms. McCray admitted that it was little more than 1 800 LIFENET with the addition of text capability.

Ms. McCray is widely hailed by the mental health industry for introducing THRIVE/NYC an $800 million mental health plan. But it largely ignores the seriously mentally ill.



WHY THRIVE/NYC IS FAILING

IT THROWS MONEY HERE[1]
THAT SHOULD BE USED HERE

Evidence
Mental Health First Aid (MHFA)
Peer Support
Assisted Outpatient Treatment[2]
Hospitals
Housing
Cuts Homelessness
No

No
Yes
Yes
Yes
Cuts Arrest
No
No
Yes
Yes
Yes
Cuts Incarceration
No
No
Yes
Yes
Yes
Cuts Suicide
No
No
Yes
Yes
Yes
Cuts hospitalization
No
No
Yes
Yes
Yes

THRIVE/NYC shuns the seriously ill and focuses on “improving mental wellness” in all others.
  • ·      Thrive/NYC funds “prevention” but serious mental illness can’t be prevented because we don’t know what causes it.
  • ·      Thrive/NYC funds “early intervention” but we can’t predict who will become seriously ill until after the symptoms first appear.
  • ·      Thrive/NYC funds “trauma,” but trauma is not a mental illness. Everyone loses a loved one, loses a job, experiences accidents, etc. PTSD is mental illness and even that runs from mild to severe.
  • ·      Thrive/NYC diverts mental health funds to programs that do not help seriously mentally ill.


NYC needs an “all hands on deck” approach to reducing homelessness, arrest, incarceration, suicide, and hospitalization of seriously mentally ill. Mental Illness Policy Org promotes ideas to accomplish that. Join us on Facebook and Twitter and subscribe to our email list at http://bit.ly/2eKarUd

Here is an article that appeared in City Journal that got it right. Also read this one in Daily News


De Blasio’s Mental-Health Blindspot

By Seth Barron (City Journal Online 10/20/16)


On Tuesday, an NYPD sergeant shot and killed 66-year-old Deborah Danner, an emotionally disturbed woman who attacked officers, first with a pair of scissors and then with a baseball bat. Mayor Bill de Blasio and police commissioner James O’Neill wasted no time blaming the sergeant for not following correct police protocol for responding to mentally distressed individuals. It may well be the case that the responding officers made serious errors. It may be that the sergeant’s actions were criminal. But the real mistake was the city’s Department of Health and Mental Hygiene’s neglect of Danner’s serious mental illness.
Danner’s case was known to the city. Her sister, with whom she lived, was Danner’s legal guardian, and the NYPD had been called to their house many times. Like many seriously mentally ill individuals, Danner had cycled through the city’s police-medical complex, and was apparently non-compliant with her medical regimen—that is, she didn’t take her anti-psychotic medicine as prescribed. “It’s the classic situation: someone is supposed to take meds and they go off their meds,” de Blasio said at a press conference. “Because of their illness they choose not to take their meds. Once they don’t take their meds it is very hard to get them to engage another kind of treatment.”   
Listening to the mayor, one would think that the paradox he outlined has never been addressed before. But New York, like almost every state, has a robust set of laws known generally as assisted outpatient therapy (AOT). Locally, the statute is known as “Kendra’s Law.” It has proven effective at keeping the mentally ill out of hospitals and shelters and promoting compliance with doctor’s orders. Kendra’s Law covers cases where a non-compliant and seriously mentally ill individual has previously been hospitalized, and is judicially and medically judged to pose a danger to himself or others. The law provides for a six-month period of supervision, during which the subject must comply with treatment or face possible commitment to a hospital. This rarely happens. 
Kendra’s Law is remarkably successful at helping the seriously mentally ill live relatively stable lives. The statistics are stunning: violent or harmful behaviors decrease by 44 percent; hospitalizations decrease by 77 percent; drug and alcohol abuse decrease by half. Patients report high levels of satisfaction with their participation in AOT, and the costs of care decline substantially, because outpatient treatment is so much cheaper—in financial and human terms—than incarceration or hospitalization.
Despite AOT’s track record of success, New York State rarely chooses to apply Kendra’s Law, even in seemingly obvious cases like Deborah Danner’s. Liberal critics of involuntary psychiatric commitment, still shuddering from the 1972 Willowbrook exposé, argue that any hint of coercive intervention is a violation of the civil liberties of the mentally ill. Meanwhile, the mental-health industry prefers to focus on mental illness as a public-health problem, like venereal disease or typhus. Publicity campaigns advise people on how to identify the signs of depression in themselves or their associates, or warn about the problem of stigmatizing mental illness. This epidemiological approach to mental illness fails because untreated schizophrenia is not contagious, nor is it hard to identify.
Thousands of homeless or incarcerated mentally ill New Yorkers aren’t living on the streets or in Rikers Island jail because they fear the stigma of mental illness. Rather, the city’s mental-health establishment has chosen not to deal seriously with their care.  
De Blasio speaks magnanimously about his grand approach to treating mental illness through his ThriveNYC plan, but that plan includes virtually nothing for the seriously mentally ill. Instead, the mayor is spending millions of dollars on feel-good advertising campaigns promoting peer counseling and awareness. His wife, Chirlane McCray, announced a collaboration this week between ThriveNYC and Tumblr, where people will be encouraged to submit quilt patches representing “a creative expression around changing the conversation around mental health and an individual’s relationship with mental illness.” 
Awareness isn’t the most pressing issue regarding the mentally ill in New York City. New Yorkers are already aware of the many suffering people in their midst. By making the police take up the slack for the city’s failed mental-health policy, de Blasio is being cynical and careless. Kendra’s Law is a working solution to the problems of people like Deborah Danner, but the mayor refuses to use it.





[1] MHFA Research at http://mentalillnesspolicy.org/samhsa/mental-health-first-aid-fails.html. Peer support studies showing no benefit beyond ordinary care: Cochrane Collaborative, “Consumer-Providers of Care for Adult Clients of Statutory Mental Health Services." American Psychiatric Association “Guideline Watch: Practice Guideline for the Treatment of Patients with Schizophrenia.” "BMC Psychiatry, A Systematic Review and Meta-Analysis of Randomised Controlled Trials of Peer Support for People with Severe Mental Illness.”  
[2] Assisted Outpatient Research at http://mentalillnesspolicy.org/national-studies/aotworks.pdf